not losing weight on retatrutide (not yet approved in US but people using anyway) promises even potentially greater loss amongst the GLP1 drugs. https://www.nejm.org/doi/full/10.1056/NEJMoa2301972 Retatrutide Timeline: When to Expect

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In agreement, in one study (172), significantly higher seminal plasma Se levels in azoospermic men were found, indicating that Se excess in seminal plasma can also be associated with infertility, not only Se insufficient levels

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Whether or not it actually works is unclear as of 2019